Effectiveness of integrated care for elderly patients with hip fractures: A systematic review and meta-analysis

Hsu, Yi-Fen; Chou, Fan‐Hao; Wang, Hsiu‐Hung; Chu, Yi-Chin; Liao, Kuei-Lin

doi:10.1016/j.gerinurse.2022.11.012

Cited by 4 publications

(1 citation statement)

References 29 publications

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“…To solve the problem of low-quality care services caused by the shortage and replacement of caregiver, some studies have been conducted. Recently, the concepts of effective integrated care [ 7 , 8 ], comprehensive care [ 9 ], and long-term care have gainedtraction [ 10 ]. The community hopes to provide comprehensive services such as medical, nursing and rehabilitation to the elderly to improve the efficiency of long-term care [ 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

KGSCS—a smart care system for elderly with geriatric chronic diseases: a knowledge graph approach

Li,

Han,

Xing

et al. 2024

BMC Med Inform Decis Mak

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Background The increasing aging population has led to a shortage of geriatric chronic disease caregiver, resulting in inadequate care for elderly people. In this global context, many older people rely on nonprofessional family care. The credibility of existing health websites cannot meet the needs of care. Specialized health knowledge bases such as SNOMED—CT and UMLS are also difficult for nonprofessionals to use. Furthermore, professional caregiver in elderly care institutions also face difficulty caring for multiple elderly people at the same time and working handovers. As a solution, we propose a smart care system for the elderly based on a knowledge graph. Method First, we worked with professional caregivers to design a structured questionnaire to collect more than 100 pieces of care-related information for the elderly. Then, in the proposed system, personal information, smart device data, medical knowledge, and nursing knowledge are collected and organized into a dynamic knowledge graph. The system offers report generation, question answering, risk identification and data updating services. To evaluate the effectiveness of the system, we use the expert evaluation method to score the user experience. Results The results of the study showed that compared to existing tools (health websites, archives and expert team consultation), the system achieved a score of 8 or more for basic information, health support and Dietary information. Some secondary evaluation indicators reached 9 and 10 points. This finding suggested that the system is superior to existing tools. We also present a case study to help the reader understand the role of the system. Conclusion The smart care system provide personalized care guidelines for nonprofessional caregivers. It also makes the job easier for institutional caregivers. In addition, the system provides great convenience for work handover.

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Section: Introductionmentioning

confidence: 99%

KGSCS—a smart care system for elderly with geriatric chronic diseases: a knowledge graph approach

Li,

Han,

Xing

et al. 2024

BMC Med Inform Decis Mak

View full text Add to dashboard Cite

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Identifying and prioritizing recommendations to optimize transitions across the care journey for hip fractures: Results from a mixed-methods concept mapping study

Guilcher,

Cadel,

Everall

et al. 2024

PLoS ONE

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Background Individuals who experience a hip fracture have numerous care transitions. Improving the transition process is important for ensuring quality care; however, little is known about the priorities of different key interest groups. Our aim was to gather recommendations from these groups regarding care transitions for hip fracture. Methods We conducted a concept mapping study, inviting persons with lived experience (PWLE) who had a hip fracture, care partners, healthcare providers, and decision-makers to share their thoughts about ‘what is needed to improve care transitions for hip fracture’. Individuals were subsequently asked to sort the generated statements into conceptual piles, and then rate by importance and priority using a five-point scale. Participants decided on the final map, rearranged statements, and assigned a name to each conceptual cluster. Results A total of 35 participants took part in this concept mapping study, with some individuals participating in multiple steps. Participants included 22 healthcare providers, 7 care partners, 4 decision-makers, and 2 PWLE. The final map selected by participants was an 8-cluster map, with the following cluster labels: (1) access to inpatient services and supports across the care continuum (13 statements); (2) informed and collaborative discharge planning (13 statements); (3) access to transitional and outpatient services (3 statements); (4) communication, education and knowledge acquisition (9 statements); (5) support for care partners (2 statements); (6) person-centred care (13 statements); (7) physical, social, and cognitive activities and supports (13 statements); and (8) provider knowledge, skills, roles and behaviours (8 statements). Conclusions Our study findings highlight the importance of person-centred care, with active involvement of PWLE and their care partners throughout the care journey. Many participant statements included specific ideas related to continuity of care, and clinical knowledge and skills. This study provides insights for future interventions and quality improvement initiatives for enhancing transitions in care among hip fracture populations.

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Variability in Care Pathways for Hip Fracture Patients in The Netherlands

Bremen,

Kroes,

Seppala

et al. 2024

JCM

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Background/Objectives: Integrated orthogeriatric care has demonstrated benefits in hip fracture management for older patients. Comprehensive care pathways are essential for effective integrated care delivery, yet local variability in care pathways persists. We assessed the current hip fracture care pathways in the Netherlands, focusing on the variability between these care pathways and the degree of implementation of orthogeriatric care. Methods: A nationwide inventory study was conducted. A survey was sent to all hospitals in the Netherlands to collect the care pathways or local protocols for hip fracture care. All care elements reported in the care pathways and protocols were systematically analyzed by two independent researchers. Furthermore, an assessment was performed to determine which model of orthogeriatric care was applied. Results: All 71 Dutch hospitals were contacted, and 56 hospitals responded (79%), of which 46 (82%) provided a care pathway or protocol. Forty-one care elements were identified in total. In the care pathways and protocols, the variability in the description of these individual care elements ranged from 7% to 87%. Twenty-one hospitals had an integrated care model with shared responsibility, while an equal number followed an orthopedic trauma surgeon-led care model. Conclusions: These findings provide a detailed description of the hip fracture care pathways in the Netherlands. Variations were observed concerning the care elements described in the care pathways, the structure of the care pathway, and the specification of several elements. The implementation of integrated care with shared responsibilities, as recommended by the international literature, has not been achieved nationwide. The clinical implications of the variability between care pathways, such as the influence on the quality of care, need to be further investigated.

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Effectiveness of integrated care for elderly patients with hip fractures: A systematic review and meta-analysis

Cited by 4 publications

References 29 publications

KGSCS—a smart care system for elderly with geriatric chronic diseases: a knowledge graph approach

KGSCS—a smart care system for elderly with geriatric chronic diseases: a knowledge graph approach

Identifying and prioritizing recommendations to optimize transitions across the care journey for hip fractures: Results from a mixed-methods concept mapping study

Variability in Care Pathways for Hip Fracture Patients in The Netherlands

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